Nursing Care Index

Complete Care At Burlington Woods, LLC

Burlington, Burlington County, New Jersey · CCN 315050 · For-profit (LLC) · part of Complete Care (85 facilities, chain average 3.1 stars)

CMS rates Complete Care At Burlington Woods, LLC 4 of 5 overall as of August 2026. 215 certified beds, 181 residents a day on average. 23 citations on record from the current inspection cycles, 1 involving actual harm; 1 fine totalling $63,469.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★★☆ 4 of 5
Health inspections★★★☆☆ 3 of 5
Staffing★★☆☆☆ 2 of 5
Quality measures★★★★★ 5 of 5
Quality: long-stay / short-stay5 / 3 of 5

Staffing

Total nurse staffing3.55932 hours per resident per day
Registered nurses0.4124 hours per resident per day
Weekend total3.27287 hours per resident per day
Nursing staff turnover41.7% (registered nurses 37.5%)
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-01-27
complaint survey
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-02-13
2025-06-04
complaint survey
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-07-11
2025-06-04 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-07-11
2025-06-04 Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · tag F0732
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-07-11
2023-12-13 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2024-01-05
2023-12-13 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-01-26
2023-12-13 Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies · tag F0867
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-01-26
2023-12-13
complaint survey
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · tag F0584
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-01-26
2023-12-13
complaint survey
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-01-26
2023-12-13
complaint survey
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · tag F0686
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-01-26
2023-12-13
complaint survey
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Nursing and Physician Services Deficiencies · tag F0725
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-01-26
2023-12-13 Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · tag F0865
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-01-26
2023-12-13 Put firmly secured handrails on each side of hallways.
Environmental Deficiencies · tag F0924
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-01-26
2023-12-13
complaint survey
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Resident Rights Deficiencies · tag F0585
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-01-26
2023-12-13
complaint survey
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Resident Assessment and Care Planning Deficiencies · tag F0661
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-01-26
2023-12-13
complaint survey
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · tag F0691
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-01-26
2023-12-13
complaint survey
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies · tag F0804
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-01-26
2023-12-13 Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies · tag F0868
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-01-26
2021-07-29 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2021-08-30
2021-07-29 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Resident Rights Deficiencies · tag F0584
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-08-30
2021-07-29 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-08-30
2021-07-29 Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies · tag F0692
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-08-30
2021-07-29 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies · tag F0755
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2021-08-30

Fines and payment denials

DatePenaltyAmount
2023-12-13Fine$63,469

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
PC Nj1 Opcos LLC
Organization
5% or greater direct ownership interest100%2021-07-01
PC Wta Opco Holdco LLC
Organization
5% or greater indirect ownership interest2021-07-01
Sms 2021 Trust
Organization
5% or greater indirect ownership interest2021-07-01
Welltower Inc.
Organization
5% or greater security interest2021-07-01
Aurora Guardian Holdco II Co-Borrower, LLC
Organization
adp of the snf2021-07-01
Aurora Guardian Holdco II Mezz Borrower, LLC
Organization
adp of the snf2021-07-01
Aurora Guardian Holdco II, LLC
Organization
adp of the snf2021-07-01
Aurora Guardian II Realty, LLC
Organization
adp of the snf2021-07-01
Aurora Guardian Partners II LLC
Organization
adp of the snf2021-07-01
Burlington Woods Realty, LLC
Organization
adp of the snf2021-07-01
J & R Family Investments, LLC
Organization
adp of the snf2021-07-01
L Friedman 2018 Family Trust
Organization
adp of the snf2021-07-01
L Friedman Family Holdings LLC
Organization
adp of the snf2021-07-01
Landau Family Investment Trust
Organization
adp of the snf2021-07-01
M Friedman 2018 Family Trust
Organization
adp of the snf2021-07-01
PC Wta Acquisition LLC
Organization
adp of the snf2021-07-01
PC Wta Multi-State LLC
Organization
adp of the snf2021-07-01
Peace Capital Holdings LLC
Organization
adp of the snf2021-07-01
R&J Family Investments LLC
Organization
adp of the snf2021-07-01
Sms 2021 Trust
Organization
adp of the snf2021-07-01
Welltower Inc.
Organization
adp of the snf2021-07-01
Bevans, Sakia
Individual
adp of the snf2021-07-01
Goldman, Eliyahu
Individual
adp of the snf2021-07-01
Mercado, Wanda
Individual
adp of the snf2021-07-01
Rosenzweig, Alan
Individual
adp of the snf2021-07-01
Stein, Shalom
Individual
corporate officer2021-07-01
Stein, Shalom
Individual
indirect ownership interest2021-07-01
Hoch, Robert
Individual
managing control - governing body2021-07-01
Stein, Shalom
Individual
managing control - governing body2021-07-01
Goldman, Eliyahu
Individual
operational/managerial control2021-07-01
Hoch, Robert
Individual
operational/managerial control2021-07-01
Mercado, Wanda
Individual
operational/managerial control2021-07-01
Rosenzweig, Alan
Individual
operational/managerial control2021-07-01
Solarz, Jeffrey
Individual
operational/managerial control2021-07-01
Stein, Shalom
Individual
trustee of the snf2021-07-01

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Burlington County.